MEMORY PSYCHIATRIC SERVICES PC (NPI# 1245772771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245772771 |
| Entity Type | Organization |
| Organization Name | MEMORY PSYCHIATRIC SERVICES PC |
| Practice Address |
4929 Wilshire Blvd Suite 510 Los Angeles CA 90010-3808 |
| Practice Telephone | 8002753243 |
| Mailing Telephone | 8002753243 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | VIKAS DUVVURI (OWNER) |
| Authorized Official Telephone | 8002753243 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4929 WILSHIRE BLVD SUITE 510 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700871233 | Intra Care Home Health Providers Inc | Home Health | 4929 Wilshire Blvd, Suite 210, Los Angeles, CA 90010-3808 | 2005-09-12 |
| 1427528868 | April Marie Ballard | Psychologist | 4929 Wilshire Blvd, Los Angeles, CA 90010-3808 | 2018-11-28 |
| 1255814646 | Anthony Cecere | Psychologist | 4929 Wilshire Blvd, Los Angeles, CA 90010-3808 | 2018-09-11 |
| 1114443397 | Leslie Charles | Psychologist | 4929 Wilshire Blvd, Los Angeles, CA 90010-3808 | 2017-08-18 |
| 1417494006 | Reina Remigio | Psychologist | 4929 Wilshire Blvd, Suite 510, Los Angeles, CA 90010-3808 | 2017-01-20 |
| 1972046423 | Brian W. Lynn | Psychologist | 4929 Wilshire Blvd, Suite 510, Los Angeles, CA 90010-3808 | 2016-11-30 |
| 1205380706 | Ann Barrett | Psychologist | 4929 Wilshire Blvd, Suite 510, Los Angeles, CA 90010-3808 | 2016-08-12 |
| 1497208359 | Yani Estrellado Leyva | Psychologist | 4929 Wilshire Blvd, Ste. 510, Los Angeles, CA 90010-3808 | 2016-07-27 |
| 1477902864 | Moses Shirinian | Psychologist | 4929 Wilshire Blvd, Suite 510, Los Angeles, CA 90010-3808 | 2016-06-07 |
| 1205296621 | Callie Kulawik | Psychologist | 4929 Wilshire Blvd, Suite 510, Los Angeles, CA 90010-3808 | 2016-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164511838 | Muriel Ann Janes | Clinical Nurse Specialist | 550 S Vermont Ave, Room 703 A, Los Angeles, CA 90020-1912 | 2006-10-12 |
| 1932297009 | Donna Betty Warren-kruer | Clinical Nurse Specialist | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868403 | Ricardo Ignacio Lanza Jr. | Clinical Nurse Specialist | 11947 York Ave Apt C, Hawthorne, CA 90250-3266 | 2020-07-06 |
| 1033612965 | Jasmine Nelson | Clinical Nurse Specialist | 12240 Hesperia Rd Ste A, Victorville, CA 92395-8309 | 2018-03-16 |
| 1679962633 | Pamoja Enterprise Inc | Clinical Nurse Specialist | 3400 W Ball Rd Ste 100b, Anaheim, CA 92804-3735 | 2015-01-14 |
| 1871835223 | Gwen Faulkner | Clinical Nurse Specialist | 1356 Cloud Ave, Menlo Park, CA 94025-6048 | 2013-03-25 |
| 1811147804 | Tina Christine Dulaine | Clinical Nurse Specialist | 1750a South Lewis Rd, Camarillo, CA 93012 | 2008-09-25 |
| 1053406025 | Mary Ann Offenheiser | Clinical Nurse Specialist | 30240 Rancho Viejo Rd Ste C1, San Juan Capistrano, CA 92675-1515 | 2006-10-04 |
| 1093814592 | Diane Myers | Clinical Nurse Specialist | 1701 Andreas Estates Pl, Royal Oaks, CA 95076-9321 | 2006-09-21 |
| 1093721003 | Paula Elaine Carmona | Clinical Nurse Specialist | 5202 Cobb Pl, San Diego, CA 92117-1228 | 2006-07-31 |
| 1649249178 | Vincent Thomas Elliott | Clinical Nurse Specialist | 121 Piccadilly Pl, San Bruno, CA 94066-2117 | 2006-03-16 |
| 1184257545 | Jessica Moran Family Cousneling A Professional Corporation Inc | Clinical Nurse Specialist | 330 Rancheros Dr Ste 208, San Marcos, CA 92069-2978 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on MEMORY PSYCHIATRIC SERVICES PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.